Portable respirators for anesthesia and other purposes



y 12, 1950 F. A. ZIHERL ETAI. 2,944,546

PORTABLE RESPIRATORS FOR ANESTHESIA AND OTHER PURPOSES Filed Aug. 24, 1954 6 Sheets-Sheet 1 FIG.

INVENTORS FRANK A. Z/HERL ARTHUR S K/SH BY ROBERT A. H/lvasolv A TTORNEYS y 1950 F. A. ZIHERL ETAL 2,944,546

PORTABLE RESPIRATORS FOR ANESTHESIA AND OTHER PURPOSES Filed Aug. 24, 1954 6 Sheets-Sheet 2 65 33 3 l /9 3 I5 32 4 77 77 I4 75 H i I 35 2 as 76 7 12 2/ 457 DR. 67 73 fisa 54\ /g 46 Q Q F IG. 5 i v4, Q a/ 42 JNVENTORS 79 FRANK A. Z/HERL ARTHUR s. K/SH I 44 BY ROBERTA HINGSON 43 JvLw/M ATTORNEYS y 1960 F. A. ZIHERL ETAL 2,944,546

PORTABLE RESPIRATORS FOR ANESTHESIA AND OTHER PURPOSES Filed Aug. 24, 1954 s Sheets-Sheet 3 v E n o a N a Q Q n a W. a N V '0 lo a Q Q N Q K Q g k m N 18 Q 3 m 4 2 'i Q 4 N a Q I I\ a: v

Q km k g k k k v- R & fi 0: o Q: m In I M q m m 0 Q5 k #3 mwzzvroxs V FRANK A. Z/HERL I ARTHUR S. KISH BY ROBERT A. HINGSON WWW A TTORNE Y8 y 12, 1960 F. A. ZIHERL EIAL 2,944,546

PORTABLE RESPIRATORS FOR ANESTHESIA AND OTHER PURPOSES Filed Aug. 24, 1954 6 Sheets-Sheet 4 FIG. I0 I43 14 INVENTORS FRANK A. Z/HERL ARTHUR S. K/SH BY ROBERT A. HINGSON ATTORNEYS July 12, 1960 F. A. ZIHERL ETAL 2,944,546

PORTABLE RESPIRATORS FOR ANESTHESIA AND OTHER PURPOSES Filed Au 24, 1954 6 Sheets-Sheet 5 IOI I27 l25a.

INVHVTORS FRANK A. ZIHERL ARTHUR S. K SH ROBERT A. HI GSON I241: Z M

'ATTORNE Y5 July 12, 1960 PORTABLE RESPIRATORS FOR ANESTHESIA AND OTHER PURPOSES Filed Aug. 24, 1954 F. A. ZIHERL EI'AL FIG. I7

6 Sheets-Sheet 6 INVENTORS FRANK A. Z/HERL ARTHUR S. KISH BY ROBERT A. H/NGSON r w ATTORNEYS A' still'furtherpbject- 'offthe'inventio 1S: o'provide e A devices of the characterf -de'scribed, which -iarefreadily apparent during th c'ourse iof thefollowingdescriptio PORTABLE nns'rm'rons FOR-ANESTHESlA ornnn runrosns Frank A. Ziherl, Cleveland, Arthur S. 'Kish, Mayfield I-Ieights, and Robert A. Hingson, Cleveland Heights, Ohio, assignors to Z and W Manufacturing Corporal-- tion, Wicklilfe, Ohio, a corporation of Ohio Filed Aug. 24, 1954, Ser. No.1451,906 Y 24 Claims. 7 toning-203 This invention relates generally to portable respirators for anesthesia and other purposes, but has reference morev particularly to devices of this. character which are'ex tremelycompact and inexpensive.

Anesthesia apparatus presently available is usually extremely heavy or cumbersome, difficult to use or manipulate, and very expensive, so'that its purchase is vir- Patented July 12, 1960 I Fig. is a fragmentary cross-sectional .view, on an I enlarged scale, taken on the. line 5-5 of Fig. l;

: valve inopen positiom t'ually restricted to'hospit-al operating rooms and other institutional facilities, and its use confined 'to specialists and experts well versed in the administrationpf an'esthetics.

- Aside from its cost and other disadvantages, such apparatus presents a-seriousexplosion hazard, as well as a distinct emotional hazard, especially from-{the view-' pointof children who 'are about to'be"ane'sthetized".-' Moreover, there ahkvebpresenthaizard-which resides in the possibility of-a patient beinga i-venanroveraes IE5: of anesthetic, through the useof f'suCh? apparatus, either-T by accident, inadvertence orniistake. A e A The presentinvention has as its pnm'ary'ob ect-the provision of portable respirators" for oxygen, foranalgesia, and for other purposes, which are extremely compact and inexpensive, so that they may be purchasednot only 'by hospitals, doctors and professional'anesthet-ists, but by patients and individuals'of somewhat limited financial means. {For anesthesiapurpose's, the respirator has the same advantages;exceptthatits use is restricted to trained'personnel.

Another object of the invention is to provide devices the attachment thereto of a cap 10 having an axial tubular extension 11 forming'a passageway. 12 which is in.

of the character'described; whichiare extremely light weight, and easy to use ormanipulate. e A further objectflof the inventionistoprovide devices of the character described, in connection with which the explosion hazard has been'r educe'clto a minimum,-' and' f the emotional hazard likewise reduced to-f a minimum,

thereby greatl expanding the field of u'se, 'par'ticularly as 0 to children and timid patients. A still further object 'of the i'nventiony-rs greatly reduces the possibility of admini'st'ratio of overdoses ofanesthetics"topatients."

adapted for use'as an oxygen supply mash-as ams chanical resuscitator; and'roggene'r l "analgesic purposes Other objects and adv-an ges' fof our'invention"will be designate like parts throughout the same, 1

Fig. 2 is asideelevationalview'of the 'device shown iii-Fig.1;-

Fig. ,3 is a fragmentary; cross-sectional'zview, on an" enlarged scale, taken on--the"line"3.3 .ofzFig. 2;

.Fig. 4 is a fragmentary cross-sectional view, on -an enlarged scale, taken onthe line 4 4 of-;F ig.13; .r '1

far-awn; devices of the character described, the use of which 6/is a fragmentary cross-sectional view, on an enlarged scale, taken on the line 6-6 of Fig. 1;

. Fig.- 7 is a view similar of Fig. 6, butshowing the mask Fig. 8 is a view -similar to Fig. l, but showing a modified form of the device; 1

. Fig. 9 is a view similar to Fig. 2, but of the modified form fid vi 2 Y I Fig; 10 is afragmentary cross-sectional view, on an enlarged scale, taken on the linef10 10 of Fig. 8;

. Fig. 11 is a'fragmentary cross-sectional view, on an enlarged scale,'taken on the 1ine'1111:of Fig. 9;

Fig; 12 is a view similar to, Fig. 10, but showing the mask valve in open position; i 1

Fig. ,13 is a cross-sectional view, taken on the line 1 3 13of Fig. 11;

. Fig. 14'is a cross-sectional view, taken on the line 14-14 of Fig. 11;

' Fig. 15 is a fragmentary perspective view of the locking device shown in Fig. 12;

i, Fig." :16 is afr'agmentary cross-sectionalview, showing an -alternativearrangement of the valve for admitting an auxiliary oxygen supply into the mask, and V r Fig. 17, is a view, partly in elevation and partly in Section, showing amanual resuscitation bellows which is inFigsaLand'8t 4 -;:Referring-'more particularlytoFigs. 1' to 7 inclusive,

- adapted fo'r-use in co'rnbination with the other parts-shown of thetdrawiriga; the' apparatusfwilhbe seen to comprise a;. centr-albody member 1, of j t'ub'ularfform having" axially ispaced openings=2 and 3 communicating with a passageway-4 ina forwardly extending branch 5 9f the body. iilember 1. Thef'body member 1 is also provided V with iarearwardly extending branch 6, which'also communicates with the openings'2 and} and passageway 4.

The forwardly extending branch S terminates in a flange 7- or'fcap from which a threaded annular collar 8 extends and to which one end of a cylinder 9 is secured. The other end of the cylinder 9 is threaded for axial'alignment with the passageway 4.

- "Ihreadedly-secured within the forward end of'the e'xu t'ension11is a fubularelei'nent 13 having an annular fla ge merits forward end, the 'rear face or this ange 1; i v ng n'annularfi'recess 15 within which"aj'sealin"g"ring 16 0f synthetic rubber, such as neoprene, is frictionally;

" secured.

alongthe outer fac'efoftheelement 131a a sleeve 1 7,

- t readed ,havinga rear p'ortioniwhich overhangs the forwardIgend of. the tubular extension; 11 A, of ,the cap 10 and forms withftheiout'er 'su'rfacelof the; element 13, an annular chamber '18; within which a compres io coil sprin '19.

is clis posled. The rea rifend of'ithe Spring -19.: abuts the ftgrwgrd'end oft-heextensionv 11, while the f orward end o t is v between the follower. 2 0 and; the shoulder, 21; g

w j The sleeve 17 is also provided withan annular'shoulder Fig; 1 is :a; top plan view of'ione :form of the device;-

orledge 2310' which a face mask24 cIampedQas by an.inflatable face-engagiiig seal 26 of soft rubber which extendsfromthe. periphery: of the mask, from-which -'-Mouiitjedffor limited slidable reciprocal movement spring; abuts 1a packing followe .20; which: is 1y secured thelsleeve'l'lf-in spaced'relaez ljof thesleeyeg ,An Oj ring 2 2:-is dl SPQS6d :abQllt thegtubulanelement 13, in the space a tube 27 extends. The tube 27 is provided with a plug 22$ in which a stem 2% is threadedly secured, the seal 26 being inflatable by means of air supplied through the stern and plug.

The tubular element 13 is also provided at diametrically-opposite sides thereof, adjacent its closed forward end, with openings 30 and 31, which are normally closed by the sleeve 1.7.

Secured to the branch 6 of the body member 1 is a rebreathing bag 32. of soft rubber or the like, constituting a storagetank for the various gases, as will be presently explained, this bag, when not in use, being fully deflated, as shown in Fig. 2.

Frictionally secured within each of the openings 2 and- 3 of the body member 1 is a stop element 33 having an annular flange 34 which abuts a shoulder 35 formed by a counterbore 36 in thebody member. The stop element is provided with an axial passageway 37, which has a portion 38 of reduced diameter, the outer endof which terminates at a channel or groove 39 which extends diamet-- rically across the outerend of the stop element The function of this stop element will be presently described.

The bodymember 1 is adapted for the threaded securernent thereto of receptacles which contain various gases under pressure, as will be presently explained. Each of these receptacles comprises a cylinder 40, provided with knurled portions 41 and. 4 2 which facilitate rotation of the cylinder. The cylinder 40. is provided at one end with a closure cap, 43 which is threadedly secured tothe cylinder, a gasket 44,. being. interposed between the cap and cylinder end to, avoid leakage... The cylinderis: provided at its other end. with a wall. 45 having acentral opening 46 therein. A neck 47 extends. from. the. wall 45;; and is threaded exteriorlyrforconnection. to threads 48; in a counterbore 49 of the, body'member 1.

The neck 47- is, alsointeriorly threaded for'the COHHCC'. tion thereto of a check valve 50, which is. slidable. in the counterbore, 36, an O-ring SIbeing interposed between the check valve and the wall of the. counterbore. to pre.-.. vent leakage at this point. The O-ring 51 is preferably made of a material which is not affected by cyclopropane.v The valve is provided with an axial bore 52 in which a valve stem 53 isslidably mounted. The stem 53is pro.-.. vided at its outer end with a head 54 provided with. a beveled surface 55, the head, in turn, provided with, an extension 56 of slightly reduced diameter.

A washer 568: is disposed between the endw ll 45 and the outer end of the check valve 50, and a. compression coil spring 57 is interposed between thiswasher. and. the head 54 of. the;valve, steinfor normally maintaining, the;

beveled surface ,55 of the valve, stern. incontactwitn annular seat 58 disposed. in a eounterbore 59 ,of the -valve 50. The valve seat 58 is also made of a material wl liclr is not alfected by cycloproparieQ The extension 56:0;f the head 54 of the valve stern serves to. prevent lateraldisplacement of the spring '57, which is of somewhat smaller external diameter than the counterbore 60 of. thevalve Sil in which the spring is disposed. The valve.5 is. also provided yvith counterbore 61 for. receiving the outer end of the stop element 3-3 when the receptacleis.

screwed into the vbodymernber 1.

It will be. apparent from the foregoing description that when the cylinder iil isscrewed into the body. member. 1 to a sufiicient extent, the inner end of the valve stern 53 will come into engagement with the outer end of the stopelement 33. The-stern 53 has a diameter. which is slightly larger than the width of the groove 39' of the stop element, so that when the stern abuts the stop. element, it cannot enter this groove, and thus closegtheouter end. of the passageway 38. The stem 53, in othenwords, straddles this groove. After the stem engages the stop element, the stem is pushed outwardly, thereby lifting thehead 54 fromthe seat 58, and permitting the contents of'the cylinder 40 to expand into gaseous forrn and escape into ,thebag 32. by Way of'the opening46, counter-.

bore 60, seat 58, thespace betweenthe stem..53.:and wall state of the bore 52, which is about .002" in width, groove 39, passageways 38 and 37, passage 4 and branch 6. The gas which thus enters the bag 32 causes the bag to expand, thereby providing a visual indication at all times that the contents of the cylinder 40 are leaving the cylinder.

In Fig. 6 of the drawings, the openings 30 and 31 are exposed'to the interiorof the mask 24, so that gas from the rebreathing bag- 3-2can'flow into the mask. In this position of the parts, the spring 19] has been compressed, and. the lee e 17 m nt ned in. h P s ShOWfi during use of themask by means of a, collar 62 wh ch i slidable along the sleeve 17" and has. a bore 63 forming a shoulder 6,4 between. which and a shoulder 65 on the sleeve 17 a compression coil' spring 66' is interposed. This spring maintains Tithe; lcollari 62 :in the position shown, in which position the collar maintains a series of circumferentially-spaced balls 67 in an annular groove 68- in the cap- 10-, the balls. lying: in circumferentiallyspaced radial openings 69-. inthesl'eeve 17.. The. collar 62', acting. ont-heballs 67:, thus functions to lock thesleeve 17 in a position in which; the gases may escapeinto the: mask; through the openings '30.-:an d. 31

1 Thecollar 62 is. prevented: from sliding off the rear end of the. sleeve 17 by means of a, snap ring 70,. which is snapped: into; an; annular-groove 71 in the. sleeve 17, and; extends; radially into. a counterbore 7-2 in, the collar.

The openings,30:.and may beautomatieallyclosed: by merely pushing the collar 62 a short distance to the. right, as. viewedin.Fig-,, 7;, and against the tension. of. the spring: 66.: This. movement; which, is substantially equiw a-lentto. the; diameter of; the balls 67 permits. the ballsto more. radi lly-o tw dly i to; e. counterb perminin hesn ns; 19; to expand n h reby a tomatically na-vine e. eevel'taud ma k. 2. 0; a Rosifionin which: he; slee e c oses he p in s 30 a dfi-l, g n egress of gases therethrough intothe mask. During this move- IQQ EQ h slse eaflle balls 67 arecarried by the sleeve out of the groove'68; and over an annular-ridge 73 of the cap-.10 andinto an. annular recess. 74 in which they are. maintained by the collar 62. To. reopen these openings, it,is;only. necessary to push. the c ollar. 62back to the opennq nsh w in i Th flange 7 and collar 8 of the branch-5; of the body n emhenl, the. cylinder; 9 and the cap 10 form a canister within which soda-lime or. other mixture for. absorbing carbondioxide is, disposed-,- The soda-lime, or similar 2mm? remeint ne w th i h yl n r. y m an screens 75 and 76 which-arefrictionally held within thecollar. 8 andeap .10 respectivelyby means of washers 77.

Means, av -also, beeanrq de o e-a mis ion. imsste roxys n. n o the-b a 3 s; rom; ll con-- ector; or reservoin; Such; means comprises. a. tubular valve body 7.8 which. fri ionally secured within arearward tubular extension 79; of: the bag, and: is internallu h ea ed en he nnec i n he e o a. v l e st a n nt a passa ew y-. 1 Th valve. o y is. countenbqred as at: 82,, forming; an, annular shoulder 83, and within this counterbore-a. portion841 of. enlarged diameter, of, the valvestem slides, an Qring 85; being interposedbetween the portion, 84 ;o f, the: stern; andithe all o th e n rbo e- Th te ha a n u anflange .6: at. its far-ward qn rthemaa ace Q is. flan ih ving n; annular asse within hich: e lin'gg ine. 5 s tr ctiona y se- .F Th mr so-'prcvide s at-diametr-i all opnesit a is esi he eefcn n ngs sa and 9.9 which-are 7 oxygen is similarly admitted hose (not shown) for introducing oxygen into thebag 32 from a wall connection or reservoir, other the receptacles.

The apparatus which has thus been described forms an analgesic purposes, it maybe"-used'for'i qtherpurposea as will be described hereinafterl The receptacles consistingofFthe'cylinderw, cap 43, and valve associated therewith, maybe used for contaii 1- ing, under pressure, the following fgasesf 'byway of exf (a) 1600 to about 3000 cc. cyclopropane I (b) 1600 to about 3600 cc. oxygen v v s t H s (c) 1000 cc. cyclopropane+l000 cc. helium H (d) 4900 cc. nitrous oxide In order that the receptacles may 'be readilyidentified, as to contents, by the anesthetist or other user of the unit, the respective cylinders may be colored or provided with color designations, according to accepted medical standards, as follows: 1

1(a) Orange (b) Green Orange and brown (d) Blue -In the use of the device for anesthetic purposes," 'aud propane andJoxygen on' the patient, theanesthetistwill attach a cylinder (a) of cyclopropane to one end of the assuming that it is d'esireddo use a mixture' of cyelo,

body member 1, "audp a -cylinder("b) of oxygen to the other end of the body member, the' .attachment= being made without opening the valves of'the respectivecylinders. He will then manipulate the'collar f62 in aman-v ner such as already described to insure that the open ings 30 and 31 of the "sleeve 11 are closed,fso that n'o gas can escape into the-mask before the unit is-ready for use, and will also see that that valve at the rear end ofthe bag 2 is closed, so that no gascari'inadvertently escape from the bag. Y r I Having observed these precautions, he will screwthe cycl opropane-cylinder inwardly'with-one'hand while 'holdi Another important feature sion'or'fire hazards, sinceeven if one or both cylinders exploded, it would not cause any appreciable harm to a patient, or damage to the operating room or hospital. This is also in contrast to the used large reservoir cylinders in the usual method, which, on exploding, havebeen known to killnot onlythe patient and others in the immediate. vicinity, but to actually blow out walls ofrooms or the hospital. I j I ;;"It "has been found through experiments that the explosion hazard is reduced by introducing the cyclopropane intothe rebreathing bag before the oxygen in introduced therein. .The use of separate cylinders of gases, as well as themanner in which the cylinders are manipulatedto free the gases therefrom greatly facilitatesthis sequential operation. I I

When the bag has been filled with the desired mixture of cyclopr'opane and oxygen, which is ready to be administered to the patient, the anesthetist, using the cylinders as handles, places the mask against the face of the patient, adjusting the mask until it is properly fitted.

He then pulls thecollar 62 towards the cap' 10 to lock thevalve in open position to uncover the openings 30 and 31 and permit the gas to enter the mask.

An extremely important feature of the invention resides in the use of the metallic gas containers or receptacles as the handles for holding and manipulating the unit, thereby dispensing with'the needfor handles separate from the-containers p resides in-the location of these'receptacle-handles, with reference to the-unit. Their extension laterally of the'bod-y member =1; as Well astheir general-position substantially parallel'tothefaceof the patient during use and operation of the unit greatly facilitatesmanipulation of the unit, and makes "for a "ord'er' of 'efli'ciency in such" use. 1 In administering aR5 0'-.50 oxygen-cyclopropanemixture to apatient, with the unit, it was found in many: cases thatan average of six breaths of 'the mixtureqproduced anesthesia, with completeloss of consciousness for about one to three minutes, and an aura of analgesia and euphoria of about five to'thirty minutes duration.

-The-apparatus makes highly feasible the use of a calculated mixture of nitrous oxide and cyclopropane, to

ingthe unit by means of the oxygen cylinder in the other q to thereby release the jcyclopropani'e into' the 'ba g'32" in any desiredamount.' Atfthis pointjitmaybe'no'ted that the'relatively'small space (2002f?) between the valve stem'SSand the wall of the b rejQSZcau'ses th'efiow of gas to be throttled in a desired manner, thereby greatly facilitating'a controlled filling of the beg. It may also be noted that since the valve" closes. automatically, t es h t m be qui k ab t b i h fi y themere act of unscrewingthecylinder a' turn or 'twoi 1 1' Aft e y p a i h cylinderin any desired amo sually'in somej 'rnofre 29? l s d p op r t icy ppropa eaf er wh the flow of oxygen from the oxygen cylinder is, stopp' ed :It may be further noted that {the cyclopropane and oxygen cylindersare of such' a'." size that under-normal c'ond-itions of anesthesia administration, no harm can result to 'a patient even if theentiref contents of. the cylinders are givenito ,thepatient, is 'in contrast to be used with maintenance oxygen thereby reducing the explosion hazard and enabling a desired benefit to be derived from the use oftwo such synergistic anesthetic gas v w p From'-""practi cal standpoint," substantiallyall -of the parts of the unit, with the exception-of the rubber parts are preferably made of spark-proof aluminum, containing no paint, or'lgrea'se which'might accentuate the explosion factor. The valve stern 53 and screens7 5 and 76 are preferably 'made of stainless steel.- The mask and reusual anesthetic administration in'which a, largegbulky cylinder of gas is used, which, if accidentally leftiopieri, couldresult ina "dc'isebeing' vehfto a'patient-{f linders for the'j gases-has'ian breathing bag are preferably made of conductive rubber, The cylinder 9 is preferably 'made of a plastic, such as clear Lucite, so as to facilitate observation of the limesoda contents of the cylinder,- to permit replacement ofsuch' contents whena'chang'e-of colorthereof indicatessaturation-of the soda-lime with carbon dioxide.

--In o"rder toelirninatefthe' possibility of a spark being created between theparts"7 -arid 8, the cylinder-9is preferably made of a conductive' plastic material, 'or a 'wi're (not shown) maybe-extended axially through the. c'ylinderiwith its ends' connected tothe screens am {76 Among jtl'ie -manifoldjus'es :of the. unit in present-day clinical anesthesia, resuscitation and oxygen inhalation may be'me'ntioned its use in obstetrical deliveries, dental extractions, setting of fractures, control of hemorrhage,

drowning accidents and mine explosions, pediatricsand for cardiac patients. I

. Among other advantages of the unit may be men-v 7 tioned" its reduction of the explosion potential; its low host, {its portability, and v is 1 easy maneuverability; h H I i s I I In Figsii8to 15 inclusive,'-a modificationof the res= other distinct :advantage lnefhat -lt g'reatlyreduces' 'ex'plo 35' pirator' is shown in which somewhatdifierent'means' i's provided for furnishing the gases, as well as somewhat diiferent means for opening the mask valve. In the modification, the body member 101 has axially spaced openings 1'02" and 103. communicating with a passageway 104, which. extends at. right angles tothe openings 102 and 103; and terminates in an annular shoulder 105. Disposed within: this passageway 104, with one end thereof in abutment with the shoulder 105,, is a battle 106, made of ashort' length of tubing, having diametrically opposite sides thereof provided with flats107 and 108, which coact with the wall of the passageway 104 to provide, passageways 109 and 110, through which the gases from openings 102 and 103 are constrained to pass into the bag111. I

The openings 102 and 103 are counterbored as at 112', for the, reception ofa spring-pressed ball 113, which is seated against an O-ring 114-, secured in position by means of a member 115 which is threadedly secured in the bodymember 101.. The member 115 is provided with an axial opening 116, in which a tubular element 117 is mounted for sliding, movement, the element being provided with a piercing point 118 which overlies the passageway through this element but does not completely block the same. The tubular element 117 is provided with an annular flange 119 which is slidable in a counterbore 120 of the opening 116, and which is adapted for abutment with a shoulder 121 of the member 115- to limit the inward movement of the element 117. The inner end of, the element- 117 is provided with a transversely extending groove 122,. so. that when the element 117 comes into engagement with the ball 113, passage of gases. into the counterbore 1112 is not blocked by'the ball. r I

Threadedly secured to the ends ofthe body member 101 is a pair of handles 123 andl-24-which handles are made hollow, so as. to receive a bulbor cartridge 125 containing a gas under pressure. The cartridges illustrated are similar to cartridges which are presently in general use for the storage of carbon dioxide. In such cartridges, the gas is. stored under pressure and therefore, it is possible to store a relatively large volume of gas in a limited space. For the particular purposes for which the present respirator is designed, such for example as for anesthesia. purposes, the cartridges may contain any of thegases under pressure which have. hereinbefore been described.

Each of the bulbs or cartridges 125 is provided with a closure, or stopper 126 ofsoft metal, which can be pierced in a manner to be now described.

Each of the bulbs. or cartridges. 125v has a neck, 125a ofv reduced diameter, which is slidable through an O-ring seal 127 which is retained in position by means of a Washer 128 secured to the outer end of the member 101. In the use of, the device, the cartridges are first placed, in: the handles 123 and, 124 inthe manner shown in Fig. 11', after which the handles are screwed to the body member 101 in the manner shown in this figure.

As the handles are thus screwedto the body member, the tubularclements 117;.are first pushed inwardly so as to lift the ball 113 from, its seat and; permit the, gases which, are subsequently released from the cartridges to enter the body member. After the annular flange 119 comes. into; abutment with. the shoulder- 121, continued rotation of the handle member causesthe' closure 126 of the cartridge-1,25 to be pierced by the picrching point 118 .Jthereby releasing: the gases, in. the. form of an ex: pending gas from one-or'both cartridges. The gas passes into the. body member 101 through. the passageways 109 and 110, passing thence into the bag 11 1, distending the latter, and rendering the gas or mixture of. gases quickly available for'use.

It may be notedat; this: point that one ofL the cartridges 7 125, preferably the one containing oxygen is compressed atthebottom end' thereofi to provide flats i); and 1250 .(s e 11-, and, L4). which wheni the; cartridge, has

been placed in the handle 124, engage similar fiat surfaces 12411 and124b= of the inner wall of the handle 124. This makes it impossible, if only the handle 124 has the flat surfaces 124a and 12417, to place twoanesthetic gas cartridges in the device at the same time, since the anesthetic gas cartridge, which is cylindrical at' the bottom, will not fit into the handle 124.

The provision of the aforesaid cartridge having a portion of non-circular exterior configuration adapted for cooperation with a complementary interior of the handle orholder provides an additional advantage, which may beexplained' as follows: The piercing point 118 is not always a true cone, so that the complementary flat surfaces on the cartridge and holder prevent relative rotation between the holder andcartridge, thereby giving a more accurate control of the piercing action to release the gas from the cartridge.

In this form of the device, the forwardly extending branch 131 of the body member 101 does not terminate in a flange which is integral with the branch, but instead, a separate cap 132 is provided which is threadedly secured to the branch 131. The cap 132 is provided witha threaded annular collar 133, to which one end of a cylinder 134 is secured. The other end of the cylinder is threaded for the attachment thereto of a cap 135 which is interiorly threaded for the connection thereto of a connector 136 having an annular groove 137 in its outer surface, and an axial passageway 138 which is in axial alignment with the passageway 104.

Threadedly secured within the forward end of the connector 136, is a. tubular element 139 which is similar in. all respects to: the element 13. Mounted for limited slidable reciprocal movement, along/the, outer. face of the eIementIBSV-is a sleeve 140 having a rear portion which overhangs the forward end of the connector 136 and forms with the outer surface of the element 139 an annular chamber 141 within'which a compression coil spring 142 is disposed. The rear end of the spring 142 abuts a shoulder 143 of 'theconnector, while the forward end of this spring abuts a packing follower 144 which is-threadedly secured within the sleeve 140.

The tubular element 139 is also provided at diametria cally opposite sides thereof, adjacent its closed forward end, with openings 145 and 146, which are normally closed by the sleeve 140, due to the action of the spring 142.

For, the purpose of pulling the sleeve 140 rearwardly against the action of the spring 142, so as to uncover the openings 1.45, and 146, a finger-piece is provided, which consists: of an open loop 147 disposed directly above the rear. portion of the sleeve 140. Secured to the lower portion of this, loop 147 isa pair of. wire elements 148, and 149,, bent at their forward. ends to provide arcuate portions 150 whichennbrace the'sleeve 140 and terminate in stub shafts 15 1 which are pivotally connected to the sleeve tat-diametrically opposite sides thereof, and are bent at their rear ends to provided arcuate portions 152 which partially encircle the connector 136.

' When it is desired to uncover the openings 145 and 146,. the finger-hold147'is grasped and pulled rearwardly until the portions. 152 are. opposite the groove 137 in the connector 136,, after which the portions 152 are entered into the groove, thereby locking the sleeve 140 in a position, in which the openings, 145 and 146 are uncovered.

U-pon liftingthe portions 1520f the finger-hold out of the groove 137, the spring 142, functions to automatically close the openings 145 and. 146'.

Grooves 153 and 15 4 (Fig. 1.5 are provided in the struction and use-with that'shown in Fig. 5, a detailed description thereof is unnecessary. I I 1 In Fig. 17, a modification is shown, in' which therebreathing bag 32 or 111 has been replaced with'a bagof a type which is conventionally used as a mechanical resuscitator. The bag 157 in this case, is of the bellows or accordion type, is made of soft rubber or the like, and

I is provided with a handle 158 for facilitating expanding and collapsing of the bag.

The outer end wall of the bag is provided with a valve comprising a valve housing 159 having openings 160 and 161 in the wall thereof, avalve 162 which normally closes the opening into the bag, and which is maintained in seated position by a compression coil spring 163.

The construction and function of such bags is 'well-. known, and need not therefore be described. It is to be noted, however, that the axis of the bag is in direct alignment with the branch 6 (or 101) of the body member and with the connection between the body member and mask, so that a direct push on the collapsible bag can be: made toward the face of the patient and thereby produce the actiondesired;

It isrto be understood that the formsof our invention,

herewith shown and described, are to be taken aspre: ferred-examples of the same, and that wariousichmges in the shape, size and arrangement'ofpa'rts may-be res" sorted to, Without departing from the spirit of our in-. vention, or the scope ofthe. subjoinedclairhs;

Having thus clmcribed our'invention, weclaim-z 1. In a device of the character described, .a hollowi A body member having an outlet branch, hollow handles secured to said body member, said handles containing gases under pressure, a tubular elementin communication with said outlet'branch, said element having outlet openings, a sleeve normally closing said openings, and a mask secured to said sleeve, said sleeve being responsive to relative movement of said body member toward said mask to uncover said openings to thereby feed said gases from said branch into said mask,

3. A device, as defined inclaim 2, in which spring means are provided for normally maintaining said sleeve in a positron to cover said openings.

4. A device, asdefined in claim 3, in which said mask is removably clamped to said sleeve, and a sealing ring is interposed between said sleeve and tubular element,

the sleeve being movable from the sealing ring to provide a space through which the gases pass into said mask from said openings.

5. A device, asdefined in claim 4, in which said body member is provided with a second branch extending rearwardly therefrom and in communication with the interior of said body member, and an inflatable bag is secured'to saidsecond branch for temporarily storing said gases. 6. A device, as defined in claim 5, including means for admitting oxygen or the like into said body member from an external source, said means comprising a tubular ex-v tension from said body member.

pressure dispossd'withinsaidhandles, said cartridges hav ing puncturablejclosures, puncturing means disposed with-' in; said body'member and responsive to attachment'ofsaid handles to sa'ld body member to puncture said closures" whereby to release said gases for passage into said body member,- a tubular elementfin communication with said outlet branch,'said element having outlet openings, a valve element normally closing said openings, and a mask, secured to one of said elements, said valve element being responsiveto relative movement of said eledisposed within said body member and responsive to attachment of said handles to said body member to puncture said closures whereby to release said gases for passageinto said body member, a tubular element incommunication with said outlet branch, said element having outlet openings, a sleeve normally closing said openings, and a mask secured to said sleeve, said sleeve being responsive to relative movement of said body member toward said mask to uncover said openings to thereby feed said gases from said branchinto the mask. 5"9. A device, as defined in claim 8, in which spring means are provided for normally maintaining said sleeve in a positionito cover said openings. g 105A device, as defined in claim 9, in which said maskis removably clamped to said-sleeve, and a sealing ring is interposed between said'sleeve and tubular elementgthe sleeve being movable from the sealing ring I to provide a space through which the inhalant passes into the mask from said openings. 1

11., A device, as defined in claim 10, in which puncturing me'ans. comprises elements'disposed in. said cured'to said body member and adapted to store gases rea. leased from *said handles, and normally-closed valve members.

body member-and having points adapted to pierce said closures lwhen,;the handles are screwed to said body 7 l2. Adevice, asdefined in claim T1, in which said 'body is provided with a second branch extending rearwardly; therefrom and in communication with the interior of said body member, and an inflatable bag is secured to said second, branch for temporarily storing said gases.

.1 13. A device, as defined in claim 12, including means for admitting oxygen or the like into saidbody member from an external source, said means comprising atubular xte'n'sion from said body member.

14. In a device of the characterdescribed, a hollow 'body member having, an outlet branch, hollow handles movablytsecuredto said body member, said handles containing gases under pressure, an inflatable member semeans for admitting said gases from said handles into said bodymember, said valve means opened in response to movement of said handles relative to said body member. t p 1 15.. A device, as defined in claim 14, including a mask opera-tively connected to the outlet branch of said body member, and an absorbent for carbon dioxide interposed 7 between said mask and said outlet branch.

', 16. In a device of the character described, a hollow body member, hollow handles removablysecured to said body member, a cartridge containing a'g'as' under pres- 7.- In a device of the character described, ahollow body 5 sure disposed within one .of saidhandles, a second cartridgecontaining a different gas under pressure disposed within the other of said handles, and means in said second handle for preventing insertion of said first cartridge in,

said second handle.

' 17. A device, as defined'in claim 16, in which said i meanscomprises fiat surfaces in'the interior of said sec-' ond handle, and non-registeringrounded surfaces on the f exterior of said first cartridge.

11 18. In a device of the character described, a hollow body having an outlet opening, hollow handles secured to said body member, said handles containing gases under for feeding said gases to a patient, said valve element being responsive to relative movement of said elements to:

open and close said last-named outlet opening.

19. In a device of the character described, a hollow 'body member having an outlet opening, hollow handles secured to said body member, said handles containing gases under pressure, a tubular element in communicationwith said outlet opening, said element having anoutlet opening, a sleeve normally closing said last-named opening, means movable in unison with said sleeve for feeding said gases to a patient, said sleeve being movable to uncover said last-named opening to feed said gases from saidfirst-named outlet opening into said means.

20. In a device of the character described, a hollow body member having an outlet opening, hollow handles secured to said body member, cartridges containing gases under, pressure disposed within said handles, said cartridgeshaving puncturable closures, puncturing'means disposed-within said body member and responsive to attachment of said handles to said body member to puncture said closures whereby to release said gases for passage into said body member, a tubular element in communi cation-With said outlet opening, said element. having an outlet opening, a valve element normally closingsaid lastnamed opening, and means for. feeding said gases to a patient, said means movable in unison with one of said: elements, said valve element being responsive to relative movement of said elements to open and close said lastnamed outlet opening.

21. In a device of the character described, a hollow! body member having an outlet opening, hollowhandles' secured to said body member, cartridges containing gases under pressure disposed within said handles, said cartridges having puncturable closures, puncturing means disposed within said body member and responsiveto attachment of said handles to said body member to puncture said closures whereby to release said gases for passage into said body member, a tubular element in communication with said outlet opening, said element having an outlet opening, a sleeve normally closing said last-named" opening, and means for feeding said gases to a patient,

12 said means movable in unison with said sleeve, said sleeve? being movable touncover said last-named opening to feed said gases from said first-named outlet opening'into' said means 22. Inv a device of the character described, a hollow body member having an outlet opening, hollow handles; secured to said body member, cartridges containing gases; under pressure disposed Within said handles, saidhandles. having punctura'ble closures, puncturing means within said body member and responsive to attachment of said" handles to said body member to puncture said closures whereby to release said gases for passage into said bodyv member, a tubular element in communication with said outlet opening, said element having an outlet opening, a sleeve normally closing said last-named opening, said sleeve movable to uncover said last-named opening, and means for locking said sleeve in a position in which said last-named opening is uncovered.

23. A device, as defined in claim 22,. in which said locking means comprises an element pivotally connected tosaidsleeve.

24. A device for administering gases to human beings and consisting of a hollow bodymember, a face mask secured thereto and having communication withsaid body member, two gas-containing hollow holders not substantially larger than. ones capable of being completely ern-- braced by a human hand, said holders communicating with opposite sides of said body member, a rebreatlier bag. communicating with said-body member, a carbon-dioxide absorbent in. communicating connection between said bag and mask, means for controlling gas communication be tween saidholders and said body member, and means for controlling communication between said body member and said mask, wherein said holders are of different configuration, whereby' two different gases may be administered using theconfigurations" as a guide.

References Cited in. the file of this patent UNITED STATES PATENTS 1,203,391 ODonnell Oct. 31, 1916 1,449,047 Johnson Mar. 20, 1923 2,066,517 Campbell r v Jan. 5, 1937 2,222,247 Ward Nov. 19; 1940 2,310,021 Heidbrink Feb. 2, 1943 2,428,425 Levitt Oct. 7, 1947 I V FOREIGN PATENTS. 100,605 Germany- Dec. 31 1898 

